11 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... Differential/diagnosis ... RV, McConnell's sign ... #A4c #clinical ... cardiology #McConnells #sign
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... symmetrical T-waves ... V2 • Wellens sign ... pain • Wellens sign ... EKG #diagnosis #differential
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... - hyperacute T waves ... bigger than QRS - deWinter ... T waves - starts ... Interpretation #differential
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Diagnostic Approach and Differential ... findings: Fluid wave ... LR 2.1) - fluid wave ... dullness, puddle sign ... incisional). 3) Signs
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
assessment - Vital signs ... - CBC with differential ... presentation in winter ... Additional tox/infectious ... Evidence of infection
Fever in Returning Travelers from Tropical Regions - Frequent Differential Diagnoses
Medical History:
 • Skin exposure to
Regions - Frequent Differential ... B, hepatitis C infection ... without localizing signs ... Returning #Traveler #differential ... diagnosis #tropical #travel
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - Differential ... and bacterial infections ... falls (like a wave ... Brucellosis Faget's Sign ... Fever #Patterns #Differential
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
immunosuppression, travel ... Differential Bilat ... interstitial diffuse infections ... partially seen shred sign
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
CNS Infections - ... parenchymatous (tabes ... Acute meningeal signs ... rav7ks #CNS #Infections ... #differential #
Right Heart Strain on POCUS Echocardiogram - Apical 4 Chamber

To differentiate acute from chronic right heart
Strain on POCUS Echocardiogram ... Chamber To differentiate ... use continuous wave ... Strain #POCUS #Echocardiogram ... clinical #cardiology #a4c